Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd
Upload
19 views3 pages

Morphine Dose: - Morphine 5-10mg IV (Repeat After

Uploaded by

Zakia Imani

The document provides guidelines for administering morphine and heparin to patients experiencing a ST-segment elevation myocardial infarction (STEMI). It recommends an initial intravenous dose of 5-10mg of morphine, which can be repeated after 5 minutes if needed, alongside an anti-emetic. For heparin, it provides dosing instructions for both a bolus and infusion to achieve a target activated partial thromboplastin time.

Copyright:

© All Rights Reserved
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt

Morphine Dose: - Morphine 5-10mg IV (Repeat After

Uploaded by

Zakia Imani
19 views3 pages
The document provides guidelines for administering morphine and heparin to patients experiencing a ST-segment elevation myocardial infarction (STEMI). It recommends an initial intravenous dose of 5-10mg of morphine, which can be repeated after 5 minutes if needed, alongside an anti-emetic. For heparin, it provides dosing instructions for both a bolus and infusion to achieve a target activated partial thromboplastin time.

Original Description:

hhhh

Original Title

Sip

Copyright

© © All Rights Reserved

Available Formats

PPTX, PDF, TXT or read online from Scribd

Did you find this document useful?

Is this content inappropriate?

The document provides guidelines for administering morphine and heparin to patients experiencing a ST-segment elevation myocardial infarction (STEMI). It recommends an initial intravenous dose of 5-10mg of morphine, which can be repeated after 5 minutes if needed, alongside an anti-emetic. For heparin, it provides dosing instructions for both a bolus and infusion to achieve a target activated partial thromboplastin time.

Copyright:

© All Rights Reserved
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
19 views3 pages

Morphine Dose: - Morphine 5-10mg IV (Repeat After

Uploaded by

Zakia Imani
The document provides guidelines for administering morphine and heparin to patients experiencing a ST-segment elevation myocardial infarction (STEMI). It recommends an initial intravenous dose of 5-10mg of morphine, which can be repeated after 5 minutes if needed, alongside an anti-emetic. For heparin, it provides dosing instructions for both a bolus and infusion to achieve a target activated partial thromboplastin time.

Copyright:

© All Rights Reserved
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
You are on page 1/ 3

Morphine Dose

Morphine 510mg IV (repeat after


5min if necessary). Give anti-emetic
with the 1st dose of morphine:
metoclopramide 10mg IV (1st line), or
cyclizine 50mg IV (2nd line).

Oxford Handbook of Clinical Medicine

Morphine Dose
Morphine sulfate (2 to 4 mg
intravenously [IV] with increments of
2 to 8 mg IV at five- to 15-minute
intervals) is the analgesic of choice
for management of pain associated
with STEMI.

ACC/AHA

Unfractionated Heparin:
Bolus: 60 U/kg IV (not to exceed 4000 U)
Infusion: 12 U/kg/hr IV (not to exceed 1000U/hr) to
goal aPTT 1.5 to 2.0 times (~50-70 detik); check
PTT in 6 hours and adjust heparin as below.
(Continue for 48 hours or until PCI)

If PTT < 1x control: re-bolus 60 U/kg (max 4000 U) and


increase infusion by 2 U/kg/hr
PTT 1 to 1.5x control: increase infusion by 2 U/kg/hr
PTT 1.5 to 2x control (approx 50-70 sec): no change
(therapeutic range)
PTT 2 to 3x control: decrease infusion rate by 2 U/kg/hr
PTT > 3x control: stop infusion, recheck PTT in 1 hour,
follow algorithm based on repeat PTT

You might also like